| NPI | 1972871309 |
|---|---|
| Doing Business As | SMILES WEST |
| Entity Type | Organization |
| Authorized Contact | BAROUIR DEIRMENJIAN CEO/President 310-923-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40804) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 40804) |
| 1223G0001X Dentist, General Practice (Licence: CA 40804) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 40804) | |
| 1223P0300X Dentist, Periodontics (Licence: CA 40804) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 40804) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 40804) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-20 |